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[ISO-abbreviation] Rev Port Cardiol

[Language] eng; por

[Publication-type] Case Reports; Journal Article

[Publication-country] Portugal

2. Jackson CE, Gardner RS, Connelly DT: A novel approach for a novel combination: a trans-septal biopsy of left atrial mass in recurrent phyllodes tumour.Eur J Echocardiogr; 2009 Jan;10(1):171-2[Fulltext service] Get downloadable fulltext PDFs of articles closely matching to this article, as many as you want.

[Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.

[Title] A novel approach for a novel combination: a trans-septal biopsy of left atrial mass in recurrent phyllodes tumour.

Transthoracic echocardiography revealed a large left atrial mass.

Although a diagnosis ofmyxoma was likely, there was concern that this was a cardiac metastasis.

A tissue diagnosis was mandatory before further thoracic surgery could be considered.

This was obtained via a trans-septal puncture using transoesophageal echocardiographic guidance.

This case highlights the importance of obtaining accurate tissue diagnosis and of excluding metastatic disease in patients with a cardiac mass and a history of tumour, prior to deciding whether surgical excision is warranted.

[Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.

BACKGROUND: Atrial myxoma is the most common cardiac neoplasm.

METHODS: We performed a retrospective review of atrial myxomas removed from 1972 to 2002, recording the clinical presentation, diagnostic modality, tumor location, gross, and microscopic features for each patient.

[Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.

PATIENTS AND METHODS: At the West German Heart Center Essen, 47 patients were operated using minimally invasive endoscopic techniques between January 2004 and April 2006 on the mitral valve (n = 31), mitral and tricuspid valve (n = 9), including mini-Maze procedure in two cases, as well as atrial septal defects (n = 5) and myxomas (n = 2).

Resection of left atrial myxoma and large atrial septal defect repair were performed in 55 patients using the da Vinci S surgical system to evaluate device safety and efficacy.

All the patients were discharged. da Vinci S surgical system has no limitations to safe resection of left atrial myxomas and of ASD repairs, surgical results are excellent, and this technology is of reproducible value with excellent cosmetic results.

[Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.

Three patients were operated on owing to a foreign body embolism, two owing to a septic embolism, three owing to emboli that originated from malignant tissues, two owing to an embolization from cardiac myxoma, and one owing to an embolism from a myxomatous atrial septal defect.

In addition, three cardiosurgical procedures were done: aortic valve replacement in the patient with a septic embolism and tumor excision in patients with atrial myxoma.

[Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.

INTRODUCTION: Left atrial myxomas remain the most common benign primary cardiac tumors, and these cardiac growths can masquerade as mitral stenosis, infective endocarditis and collagen vascular disease.

Atrial myxomas are found in approximately 14-20% of the population and can lead to embolization, intercardiac obstructions, conduction disturbances and lethal valve obstructions.

A transthoracic echocardiogram revealed a large atrial myxoma occupying the majority of the left atrium, with the posterior border of the large atrial mass defined by eccentric mitral regurgitation identified during cardiac catheterization.

OBJECTIVE: This study is to discuss a surgical approach for ideal and safe resection of atrial myxoma using the da Vinci S Surgical System (Intuitive Surgical, Inc, Sunnyvale, Calif).

Fifteen tumors were in the left atrium, of which 11 tumors arose from the interatrial septum, 2 from the posterocaudal wall, 1 from the root of the anterior leaflet of the mitral valve, and 1 from the left atrial roof.

In 13 patients, exploration was conducted through a left atriotomy anterior to the pulmonary veins and excision was achieved by dissecting a plane through the atrial muscle at the point of attachment.

No recurrences of tumor or septal leakage were found in the complete 1- to 18-month follow-up.

CONCLUSIONS: The excision of atrial myxomas with the da Vinci S Surgical System is feasible, efficacious, and safe.

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(PMID = 17126161.001).

[ISSN] 1552-6259

[Journal-full-title] The Annals of thoracic surgery

[ISO-abbreviation] Ann. Thorac. Surg.

[Language] eng

[Publication-type] Case Reports; Journal Article

[Publication-country] Netherlands

23. Jegier B, Jaszewski R, Lelonek M: Left atrial myxoma with an atrial septal defect.Cardiol J; 2009;16(6):577-9[Fulltext service] Download fulltext PDF of this article and others, as many as you want.

[Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.

[Title] Left atrial myxoma with an atrial septal defect.

In a 62-year old woman with arterial hypertension, a left atrial myxoma and a concomitant atrial septal defect, diagnosed intraoperatively, were recognized.

The atrial septal defect was not observed pre-operatively by transthoracic and transoesophageal echocardiography with color Doppler.

The myxoma was pedunculated and situated on the inferior part of the interatrial septum and moved to the left ventricle in the diastolic phase.

The histopathologic finding was consistent with the diagnosis ofmyxoma.

To our knowledge, this is the first report of RT3DE in a patient with right atrial myxoma associated with an ASD.

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(PMID = 19036749.001).

[ISSN] 1532-2114

[Journal-full-title] European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology

[ISO-abbreviation] Eur J Echocardiogr

[Language] eng

[Publication-type] Case Reports; Journal Article

[Publication-country] England

25. Tünerir B, Aslan R: An alternative, less invasive approach to median sternotomy for cardiac operations in adults: right infra-axillary minithoracotomy.J Int Med Res; 2005 Jan-Feb;33(1):77-83[Fulltext service] Get downloadable fulltext PDFs of articles closely matching to this article, as many as you want.

[Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.

BACKGROUND: We used the right atrial free wall as a patch to close atrial septal defects (ASD) and report its results.

The underlying diagnosis were very large secundum ASD in 51 patients, sinus venosus defect in 15, primum ASD in 5, large defect resulting from excision of a left atrial myxoma in 12, complete atrioventricular canal defect in 1, total anomalous pulmonary venous return with ASD in 2, and Ebstein anomaly with a large ASD in 1.

No flow was detected across the septal patch on predischarge echocardiography.

Electrophysiologic studies in 2 patients recorded normal atrial potentials from the site of the patch.

CONCLUSIONS: The autologous, free, right atrial wall can be safely used as a patch for ASD closure and offers several advantages.

We reviewed our cases of cardiac myxoma excised via an upper hemi-sternotomy with a biatrial septal cardiac approach, to demonstrate this technique as a valid alternative to a full-length median sternotomy.

Standard aortobicaval cardiopulmonary bypass and myocardial protection were established with complete tumour excision via a biatrial septal approach commenced in the left atrial dome and extended to the right atrial appendage.

CONCLUSIONS: Most proposed benefits of minimally invasive surgery were demonstrated in cardiac myxoma application without significant compromise to patient care and recovery using upper hemi-sternotomy and biatrial septal approach.

[Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.

[Title] A case of left atrial myxoma associated with atrial septal defect.

Cardiac myxoma is the most frequent primary tumor of the heart.

However, it is rarely associated with congenital cardiac anomalies such as atrial septal defect in the literature.

We present a 72-year-old woman referred to the emergency department with loss of consciousness and finally diagnosed as a pedinculated mobile left atrial myxoma and concomitant occurrence of an ostium secundum type atrial septal defect.

The mass was successfully excised, and atrial septal defect was safely repaired by primary suture.

Atrial myxoma should be considered in the differential diagnosis when patients present with neurological consequences of systemic embolization.